ATI Finals As Derived From ATI Text For Nursing Fundamentals, Part II

100 Questions | Total Attempts: 349

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ATI Finals As Derived From ATI Text For Nursing Fundamentals, Part II

Questions derived from Fundamentals for Nursing Edition 7. 0, application exercises. Chapter 35 through Chapter 57, pages 348 through 636. For any questions or suggestions, email at [email protected] Com


Questions and Answers
  • 1. 
    A nurse is teaching a group of young adults who are about to go for a marathon. Which of the following should she teach?
    • A. 

      Increase fluid intake in dry climates

    • B. 

      Decrease fluid intake in high altitudes

    • C. 

      Include caffeine as a regular beverage

    • D. 

      Decrease fluid intake after training

  • 2. 
    After an interview, a 90 year old patient told the nurse that he had diarrhea and vomiting for the past 2 days. Which of the following will indicate that the client might be suffering from hypovolemia? Select all that apply:
    • A. 

      Tachypnea

    • B. 

      Furrowed tongue

    • C. 

      Sunken eyeballs

    • D. 

      Bradycardia

    • E. 

      Hypertension

  • 3. 
    A patient has been admitted for peritonitis and has signs of dehydration. Which of the following laboratory findings would be expected for this patient. Select all that apply:
    • A. 

      Increased urine osmolality

    • B. 

      Decreased serum osmolality

    • C. 

      Decreased urine specific gravity

    • D. 

      Increased serum sodium

    • E. 

      Increased HCT

  • 4. 
    A nurse has been assigned 4 patients. Which of them is at risk for HYERVOLEMIA?
    • A. 

      A patient receiving loop diuretic

    • B. 

      A patient who lost 500 ml of blood during surgery

    • C. 

      A patient who had a myocardial infarction

    • D. 

      A patient who is 3 hours postoperative is and under an NG suction

  • 5. 
    After looking at the laboratory results for a group of patients, which of the following should be reported to the respective physician?
    • A. 

      Serum potassium 4 mEq/L

    • B. 

      Serum calcium 8.5 mg/dL

    • C. 

      Serum chloride 99 mEq/L

    • D. 

      Serum sodium 143 mEq/L

  • 6. 
    Which of the following should be a part of a care plan designed for a hypernatremic patient?
    • A. 

      Administer a loop diuretic

    • B. 

      Increase sodium intake

    • C. 

      Restrict oral intake of water

    • D. 

      Infuse hypotonic IV fluids

  • 7. 
    When an infant has a heart attack, which of the following pulses should be palpated to determine how the heart is working?
    • A. 

      Radial

    • B. 

      Pedal

    • C. 

      Carotid

    • D. 

      Brachial

  • 8. 
    A nurse in the ER is assigned to a patient who has chest pain and is diaphoretic. The patient becomes unresponsive and the ECG device reveals ventricular fibrillation. Which of the following should the nurse do first? 
    • A. 

      Open the airway

    • B. 

      Initiate rescue breathing

    • C. 

      Deliver chest compressions

    • D. 

      Provide defibrillation

  • 9. 
    A nurse is treating a diabetic 15-year old patient two days after an appendectomy. The client can tolerate a regular diet quite well. He has walked around the unit with assistance and request pain medication every 6 to 8 hours at a 3 on a 0 to 10 pain scale. His wound is approximated, free of redness with slight serous drainage noted on the dressing. Which of the following risk factors for poor wound healing does this patient have? Select all that apply
    • A. 

      Extremes in age

    • B. 

      Impaired/suppressed immune system

    • C. 

      Impaired circulation

    • D. 

      Poor wound care such as breaches in aseptic technique

    • E. 

      Malnutrition

  • 10. 
    An entry in a patient chart indicates wound drainage is "sanguineous". What does this mean? 
    • A. 

      Foul-smelling

    • B. 

      Green-tinged or yellow

    • C. 

      Watery in appearance

    • D. 

      Bright red

  • 11. 
    Which of the following is a wound or injury healing by secondary intention?
    • A. 

      An open burn area

    • B. 

      A bone fracture that is casted

    • C. 

      A sprained ankle

    • D. 

      A sutured surgical incision

  • 12. 
    A 70-year old female has had a bowel obstruction surgery six days ago. During the past day, she has complained of nausea, and she threw up small amounts of clear liquid in the last 7 hours. Her vital signs are stable. Currently, her incision is well approximated without redness, tenderness or swelling. Which of the following could indicate the possibility of a wound infection?  
    • A. 

      Increased pain

    • B. 

      Decreased pulse rate

    • C. 

      Decrease WBC count

    • D. 

      Increased thirst

  • 13. 
    A surgical client acutely becomes agitated and pulls of her dressing. The nurse enters the room and finds out that the wound is separated with viscera protruding. Which of the following interventions are appropriate? Select all that apply
    • A. 

      Repack the wound

    • B. 

      Call for help

    • C. 

      Cover the wound with sterile dressing moistened with 0.9% sodium chloride

    • D. 

      Assist the client to a chair

    • E. 

      Stay with the client

  • 14. 
    An 85-year old diabetic patient must now use a wheelchair after a stroke 2 years ago that affected her right side. She feels no pain on this side. Although she has a good appetite, she needs help with eating. Which of the following factors could cause this patient to have pressure ulcers?
    • A. 

      Dehyrdation

    • B. 

      Limited mobility

    • C. 

      Nutritional impairment

    • D. 

      Incontinence

  • 15. 
    For a CVA patient who is wheel chair bound, which of the following can prevent skin breakdown?
    • A. 

      Massage bony prominences frequently

    • B. 

      Keep patient on high fowler's position while in bed

    • C. 

      Have the client sit on a donut shaped cushion

    • D. 

      Encourage repositioning every 15 minutes while the client is on a wheelchair.

  • 16. 
    Which of the following is a STAGE III DECUBITUS?
    • A. 

      Reddened skin and does not blanch with pressure

    • B. 

      Ulcer is an abrasion or a blister

    • C. 

      Bone is exposed at the center of the ulcer

    • D. 

      Ulcer extends past the subcutaneous tissue to the muscle

  • 17. 
    Which of the following formula contains a complete nutrition?
    • A. 

      Polymeric

    • B. 

      Modular

    • C. 

      Elemental

    • D. 

      Specialty

  • 18. 
    The enteral access tube best suited for short-term use (less than 4 weeks)
    • A. 

      Nasogastric tube

    • B. 

      Gastrostomy tube

    • C. 

      Jejunostomy tube

    • D. 

      PEG tube

  • 19. 
    After an enteral feeding is given, what is the purpose of flushing a tube?
    • A. 

      Provide sufficient fluid intake

    • B. 

      Dilute concentration of formula

    • C. 

      Clear the tubing to prevent clogging

    • D. 

      Ensure placement of tube is maintained

  • 20. 
    Before initiating an enteral feeding, what is the highest priority assessment that the nurse must do?
    • A. 

      Is the tube correctly placed?

    • B. 

      Is the client alert and oriented?

    • C. 

      How long has the feeding container been open?

    • D. 

      Does the client have diarrhea?

  • 21. 
    While assessing a patent with a continuous enteral feeding, nurse noticed aspiration if the tube feeding. What should she do next?  
    • A. 

      Auscultate breath sounds

    • B. 

      Stop the feeding

    • C. 

      Obtain a chest x-ray

    • D. 

      Provide oxygen

  • 22. 
    The proper way to secure a nasogastric tube.  
    • A. 

      Tape from the client's nose to the nasogastric tube

    • B. 

      A safety pin trough the nasogastric tube to the client's gown

    • C. 

      Tape to the client's cheek with a short length of tubing looped on the nose

    • D. 

      Tape around the connection of the nasogastric tube and the suction tubing

  • 23. 
    Which of the following can cause a low pulse oximetry reading? Select all that apply:
    • A. 

      Nail polish

    • B. 

      Poor peripheral circulation

    • C. 

      Edema

    • D. 

      Hyperthermia

  • 24. 
    Which of the following are early signs of hypoxemia? Select all that apply:
    • A. 

      Pale skin and mucous membranes

    • B. 

      Elevated blood pressure

    • C. 

      Restlessness

    • D. 

      Cyanotic skin and mucous membranes

    • E. 

      Bradycardia

  • 25. 
    Which of the following are late signs of hypoxemia? Select all that apply: 
    • A. 

      Cyanotic skin and mucous membranes

    • B. 

      Hypotension

    • C. 

      Bradycardia

    • D. 

      Confusion and stupor

    • E. 

      Elevated blood pressure

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